Renal Care Group of the Southeast, Inc.

NPI #1801908645 in Crestview, Florida

Provider Information

NPI Number: 1801908645
Entity Type: Organization
Organization Name: Renal Care Group of the Southeast, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Aug 31, 2006
Last Updated: Oct 16, 2023

Practice Location

Address: 223 E REDSTONE AVE
City: Crestview
State: Florida
ZIP Code: 32539-5373
Phone: (850) 603-6295

Authorized Official

Name: BARRY L. BLANTON
Title: VICE PRESIDENT
Phone: (781) 699-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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